Mr. Glen Carlisle Mackenzie, MD
Mr. Glen Carlisle Mackenzie, MD is an Obstetrics/Gynecology in Manchester Center, Vermont. Graduated from Loyola University of Chicago, Stritch School of Medicine in 1991, 35 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Vermont.
- Years since qualifying
- 35
- Trained at
- Loyola University of Chicago, Stritch School of Medicine
- Licensed in
- VT
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1009 Depot StManchester Center, VT 05255-9731
Phone: (802) 442-8649
Fax: (802) 442-8658
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gynecology Physician (primary) | Taxonomy 207VG0400X · Licence 0420009174 (VT) |
|---|---|
| Obstetrics & Gynecology Physician | Taxonomy 207V00000X · Licence 0420009174 (VT) |
Record details
| NPI number | 1306926704 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | October 17, 2006 |
| Last updated in NPPES | June 17, 2022 |
| Certification date | June 17, 2022 |
Medicare enrollment
| Medicare specialty | OBSTETRICS/GYNECOLOGY |
|---|---|
| Medical school | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduated | 1991 (35 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |